[The issue of lower limb amputations in vascular diseases]

A series of 363 amputations in 335 patients treated between 1979 and 1988 because of chronic peripheral vascular disease was reviewed. In years from 1979 to 1988 3500 vascular surgical procedures were carried out. In 217 cases (6,2%) subsequent amputation was necessary. Previously, from 1962 to 1978 it had occurred in 8,5%. The authors experience is indicative of limb vascularization as decisive factor in choosing the level of amputation. In high aortoiliac arterial occlusion a vascular procedure is carried out, resulting in good blood supply of the stump allowing lowering the level of amputation and shortening recovery period.